| NPI | 1124343421 |
|---|---|
| Former Name | EMILY ANN WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56299) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091937) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2021-04-09 |